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 recredentialing
If you have any questions about how to complete your recredentialing application, please contact Mrs. Sandy Cooke, our Director of Credentialing, at (919) 341-8033 or email her at scooke@HNSarolinas.com.
HNS is required to recredential participating professional providers every 3 years. HNS will advise you of this at least 2 months before your current credentials expire. We mail this application package to the address on file in our system so it is imperative that you notify us immediately if you have a change in your practice or mailing address.
It is extremely important that you return your application by the stated due date. If your completed recredentialing application, together with the required documents, are not received BY THE DUE DATE CLEARLY STATED IN YOUR RECREDENTIALING PACKET, your participation in the HNS network will be terminated.
In order to assist you, we have completed parts of the recredentialing application for you.
You are required to review EACH SECTION to assure the accuracy of the information before submitting to HNS. If any of the prefilled informaton is incorrect, please provide correct, current information.
The Checklist attached to your application must be completed and returned with the application.
Prior to submitting your application packet, please make sure that your packet contains:
- Completed application with current date and signature
- Copy of provider’s state license registration clearly showing expiration date.
- For NC providers, this is the large 8 1/2 x 11 license renewal showing the expiration date of your license.
- For SC providers, this is the small, wallet-size registration that shows the expiration date of your license.
- For VA providers, this is the 81/2 x 4 license renewal showing the expiration date of your license.
- Copy of the fact sheet from you current professional liability insurance policy indicating:
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Name of provider
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Amount of coverage (minimum coverage requirement is $1,000,000/$3,000,000)
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Effective date and expiration date (Policy coverage dates)
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Policy number
- Explanation to all “Yes” responses on “Professional Information” questionnaire.
You must not leave any sections blank. Write N/A if not applicable.
- Please remember that you must include 2 Letters of Recommendation with your application.
- Signed and dated Attestation statement.
- A completed W-9 form.
- 2 signed and dated Provider Agreements
- 2 signed and dated Business Associate Addendums
- Completed HNSConnect registration form (for filing claims electronically)
- Signed HNSConnect Provider Agreement (EDI agreement)
- Hold Harmless Agreement (for NC and SC Providers only)
- 2 Letters of Recommendation
If you have any questions while completing the recredentialing application, please call us
at (919) 341-8033. We will be happy to assist you.
Provider Rights:
The following rights are for each provider applying for credentialing and/or recredentialing with HNS:
- To review information submitted to support credentialing application
- To correct erroneous information
- To be informed, upon request, of their credentialing and/or recredentialing application status
- To be notified of these rights
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